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INNOVATIVE DERMATOLOGY
NPI 1306261243
Dermatology in Havertown, PA

Active since March 02, 2014
109 N EAGLE RD, SUITE 2, HAVERTOWN, PA 19083(610) 789-7546(610) 789-7547 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Innovative Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE DERMATOLOGY (NPI 1306261243) is a healthcare organization registered as a dermatology in Havertown, Pennsylvania and active in the NPI registry since March 2014. The organization lists Minh P Thieu, President, as its authorized official.

NPPES Registry Identity

NPI1306261243
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMINH THIEU, MD, PC
Location Address109 N EAGLE RD, SUITE 2Havertown, PA 19083-3400
Mailing Address109 N Eagle Rd, Suite 2Havertown, PA 19083-3400 · (610) 789-7546 · Fax (610) 789-7547
Phone(610) 789-7546
Fax(610) 789-7547
Organization SubpartNo
Authorized OfficialMinh P ThieuPresident · (215) 605-8534
Enumeration DateMarch 2, 2014
Last NPPES UpdateJuly 23, 2015
✔ NPI 1306261243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
109 N EAGLE RD, Havertown, PA 19083
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Other Names 1

Doing Business AsInnovative Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovative Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Khanh Thieu, M.D.
Dermatology
NPI 1093030462
109 N EAGLE RD SUITE 2
Havertown, PA 19083
(610) 789-7546
✔ PECOS✔ Accepts Medicare0.3 mi
Minh Thieu, M.D.
Dermatology
NPI 1710924980
109 N EAGLE RD SUITE 2
Havertown, PA 19083
(610) 789-7546
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minh Thieu, MD, PC's NPI number?

The NPI number for Minh Thieu, MD, PC is 1306261243. It was assigned to this organization in the NPPES registry on March 2, 2014. The provider is doing business as Innovative Dermatology.

Where is Minh Thieu, MD, PC located?

Minh Thieu, MD, PC is located at 109 N Eagle Rd Suite 2, Havertown, PA 19083. The listed phone number is (610) 789-7546.

What is Minh Thieu, MD, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Minh Thieu, MD, PC enrolled in Medicare?

Yes. Minh Thieu, MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minh Thieu, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Minh Thieu, MD, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Minh Thieu, MD, PC accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Minh Thieu, MD, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minh Thieu, MD, PC was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.